Elite Home Insurance...Welcome to NatWest Elite Home Insurance Thank you for insuring your home with NatWest Elite Home Insurance, which is underwritten by U K Insurance Limited. We
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bankingHelpful
Elite Home InsuranceAll you need to know
Welcome to NatWest Home InsuranceHints and tips 3
Summary of policy limits 4
Policy conditionsImportant information 5How to claim 6This policy doesn’t cover 7
Section 1 BuildingsA Core cover 8B Additional cover 9C Accidental damage 10D Property owner’s liability 11E If you claim 12
Section 2 ContentsA Core cover 13B Additional cover 14C Accidental damage 16D Personal liability 16E Employer’s liability 17F Tenant’s liability 18G If you claim 18
Section 3 Personal PossessionsA Core cover 20B Additional cover 20C If you claim 21
Section 4 Family Legal ProtectionThe cover we provide 22A Core cover 22B If you attend jury service 25If you claim 25Conditions and losses not covered 26
Section 5 Home EmergencyIf you have an emergency 30Home Emergency cover 31Conditions and losses not covered 32
Other conditionsClaims conditions 34General conditions 35Losses not covered 38
Policy definitions 39
How to make a complaint 43
Everything elseOur regulators 45Your Credit Agreement 45
Contents
Page 2
Page 3
Welcome to NatWest Elite Home InsuranceThank you for insuring your home with NatWest Elite Home Insurance, which is underwritten by U K Insurance Limited. We are determined to provide you with outstanding customer service at all times and to make insuring with us as easy and trouble free as possible.
This policy booklet provides all the details you need to know about your insurance policy. Please read this alongside your schedule and home proposal confirmation.
We hope that you will insure with us for many years to come.
Hints and tips
Claim phone numbers > see the back cover
What you need to do if you make a claim > see page 6
List of defined words > see page 39
Leaks and burst pipes > see page 8
Conditions of the policy > see page 34
Changes to the policy you should tell us about > see page 36
If your bike is stolen > see page 20
Cover for your children in lodgings at school/university > see page 15
If your set or suite is damaged > see page 19
What is not covered that applies to the whole policy > see pages 7 and 38
Page 4
Summary of policy limitsThe following is a summary of the main policy limits. You should read the rest of this policy for the full terms and conditions.
Buildings (if selected)Alternative accommodation and rent £50,000Trace and access £10,000Property owner’s liability £5,000,000
Contents (if selected)Valuables inner limit 30% of Contents sum insuredValuables single item limit £4,000Alternative accommodation and storage £30,000Theft from outbuildings/garages £5,000Contents outside £2,500Garden plants £2,500 per claim, £500 per plantMoney in the home £1,000Contents at university, college or boarding school £10,000Contents temporarily away from the home £10,000Downloaded content £3,000Business equipment £10,000Guests belongings £1,000Birth of a child, religious festivals 10% of Contents sum insured and weddings or civil partnershipsTenant’s liability £10,000Employer’s liability £10,000,000Personal liability £5,000,000
Personal Possessions Included with ContentsSingle item limit £4,000Pedal cycles (per cycle) £1,000Money £1,000Theft from unattended motor vehicle £2,000
Family Legal Protection IncludedLegal costs and expenses £100,000
Home Emergency OptionalEmergency call out £500Replacement boiler £250One night emergency accommodation £250
Page 5
Policy conditions
Policy conditions
Meeting your needsWe have not given you a personal recommendation as to whether this policy is suitable for your specific needs and just to let you know our consultants may receive a bonus if you purchase any cover with us.
The law that appliesUnder European law, you and we may choose which law will apply to this contract. Unless both parties agree otherwise English law will apply, but this choice of law does not restrict your rights under mandatory provisions of the law of the country where you permanently live.We have supplied this Agreement and other information to you in English and we will continue to communicate with you in English.
Your home insurance contract is made up of• This policy booklet.• Your schedule.• Your proposal confirmation.
What you need to do• Please read this policy booklet and your schedule
to make sure you know exactly what your insurance covers.
• Check your proposal confirmation and your schedule, which sets out the information you have given us, carefully.
• If you think there is a mistake, or if you need to make changes, you should tell us immediately.
• If you don’t give us correct information, or if you don’t tell us about any changes:
− your policy may be invalidated − we may reject your claim − we may not pay your claim in full.
Important Information
Policy conditions continued
Page 6
Family Legal Protection claims and legal advice line0345 246 0433We’re open 24 hours, 365 days a year.
Home emergencies – Section 50345 301 6242We’re open 24 hours, 365 days a year.
Buildings, contents or personal possessions0345 303 5784If you need to claim:• call the home insurance claims number as soon
as possible• don’t make any arrangements for replacement or
repair before you call • when you call we’ll ask for:
− your policy number − information about the extent of the loss or
damage − your crime or loss reference number (if relevant).
How to claim
Page 7
Policy conditions
This policy doesn’t cover
✘✘ Just like most insurers we don’t cover:• Wear and tear. • Maintenance and routine decoration.• Loss or damage as a result of the lack of
maintenance and/or routine decoration.• Reduction in value.• Damage caused by rot, fungus, woodworm,
beetles, moths, insects or vermin.• The cost of repairing or replacing any item
following a mechanical or electrical fault or breakdown, or where it has failed or stopped working despite there being no apparent damage (note this does not apply to Section 5 Home Emergency).
• Damage caused by cleaning, dyeing, renovating, altering, re-styling, repairing or restoring an item.
• Tearing, scratching, chewing, vomiting, fouling, urinating or denting by any domestic animal.
• Any damage caused gradually. • Faulty workmanship, faulty design or the use
of faulty materials.• Items held or used for business purposes
except those listed as business equipment in the definitions.
• Any drop in the market value of your home caused by rebuilding or repairing damage to your buildings.
• Any loss, damage or legal liability caused, or allowed to be caused, by the deliberate, wilful or malicious act of you or any paying guest or tenant.
• Any loss, damage or legal liability resulting from the illegal acts of you or any paying guest or tenant.
Page 8
Section 1 Buildings! Defined words appear in bold – see page 39 for definitions. Your schedule will show if you have this cover.
A Core cover
✘✘ We don’t cover: • tanks, pipes, appliances or heating systems
themselves
✘✔Theft or attempted theft✘✘ We don’t cover:• damage caused by paying guests or tenants• loss or damage when it has been more than
60 days since you last slept at your home on a regular basis (which doesn’t include occasional visits or stays).
✘✔ Fire, explosion, lightning, earthquake and smoke✘✘ We don’t cover loss or damage caused by:• heat distortion unless accompanied by flames• tobacco burns, unless accompanied by flames.
✘✔Being hit by vehicles, aircraft, flying objects and animals We also cover damage from anything that drops from an aircraft or flying object.
✘✔Subsidence or heave of the site on which your home stands, or landslip This includes cover for: • solid floor slabs, but only if your home’s
foundations are damaged at the same time and by the same cause
• outdoor swimming pools, tennis courts, patios, terraces, service tanks, drains, septic tanks, pipes and cables, central heating fuel storage tanks, drives, footpaths, garden walls, hedges, gates or fences – but only if your home is damaged at the same time and by the same cause.
✘✘ We don’t cover damage from:• normal bedding down of new structures or
shrinkage • settling of newly made up ground• coastal or river erosion• demolition or structural repairs or alterations
to your buildings.
✘✔Vandalism or malicious acts✘✘ We don’t cover:• damage caused by paying guests or tenants
Your buildings are covered for loss or damage caused by✘✔Storm or flood✘✘ We don’t cover: • damage to fences, gates or hedges• damage from frost.
✘✔Water or oil escaping from fixed water or heating systemsWe also cover water or oil escaping from:• underground drains and pipes• domestic appliances• storage tanks.✘✘ We don’t cover: • subsidence, heave or landslip damage caused
by escaping water or oil under this section. However, you may have cover under the section ‘Subsidence or heave of the site on which your home stands, or landslip’ below
• tanks, pipes, appliances or heating systems themselves
• costs to remove and replace any part of the buildings to find and repair the source of any water or oil leaks. However, you may have cover under the Trace and Access section below
• damage caused by the failure, wear and tear or lack of grouting or sealant
• loss or damage caused by water overflowing from sinks, wash basins, bidets, showers and baths as a result of taps being left on in your home
• loss or damage when it has been more than 60 days since you last slept at your home on a regular basis (which doesn’t include occasional visits or stays).
✘✔Trace and AccessWe will also pay up to £10,000 to remove and replace any part of the buildings to: • find the source of any water or oil escaping
from tanks, pipes, appliances or fixed heating systems that is causing damage to the buildings.
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Section 1 Buildings
• loss or damage when it has been more than 60 days since you last slept at your home on a regular basis (which doesn’t include occasional visits or stays).
✘✔ Falling trees or branches✘✘ We don’t cover damage to fences, gates or hedges.
✘✔ Falling TV aerials, radio aerials, satellite dishes and their fittingsPlease note: • if you have our Buildings cover, your buildings
are covered for loss or damage caused by falling TV aerials, radio aerials, satellite dishes and their fittings. But our Buildings cover does not cover damage to TV aerials, radio aerials, satellite dishes and their fittings themselves
• if you have our Contents cover, this covers damage to your TV aerials, radio aerials, satellite dishes and their fittings themselves (see Section 2).
✘✔ Frost damage to water pipes and tanks✘✘ We don’t cover: • water pipes or tanks that are outside• water pipes or tanks in outbuildings• loss or damage when it has been more than
60 days since you last slept at your home on a regular basis (which doesn’t include occasional visits or stays).
✘✔Riot, civil unrest, labour disputes or political disturbance
✘✔Weight of snowThis includes cover for garages and outbuildings, but only if they:• are built of brick, stone or concrete, and• have a tile or slate roof.✘✘ We don’t cover damage to fences, gates and hedges.
You’re covered for ✘✔Service pipes and cablesWe will pay for physical damage to underground drains, pipes, cables and tanks which you are legally responsible for and which provide services to or from your home.✘✘ We won’t pay for loss or damage when it has been more than 60 days since you last slept at your home on a regular basis (which doesn’t include occasional visits or stays).
✘✔ Loss of keysWe will pay to replace and fit locks:• on the outside doors of your home or • to any safe or alarm system in your homeif the keys have been lost or stolen.
✘✔Emergency entry to buildings and gardensWe will pay for loss of or damage to your buildings or garden landscaping caused by the fire brigade, police or ambulance service making a forced entry because of an emergency involving you.
✘✔Alternative accommodation kennel fees and lost rentWe will pay up to £50,000, in total, for alternative accommodation for you and kennel fees for your pets, and lost rent, if: • your home is uninhabitable while it is being
repaired, due to a valid claim you have made under Section 1
• your home is occupied by squatters.Alternative accommodation where appropriate will be reflective of the individuals’ needs. Each claim will be reviewed taking into account the duration, location and occupancy and will continue for the shortest amount of time necessary to restore your home to a habitable condition.✘✘ We won’t pay for:• Any subscription based services to your
alternative accommodation• Any costs associated with keeping livestock
and/or horses.Please note we may not pay for costs you incur without our prior agreement.
B Additional cover
Section 1 Buildings continued
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You’re covered for
✘✔Accidental damage to the buildings.Accidental damage is sudden and unintentional physical damage that happens unexpectedly.
You’re not covered for
✘✘ We won’t pay for:• damage caused by any paying guest or tenant• loss or damage when it has been more than
60 days since you last slept at your home on a frequent and regular basis (not including occasional visits or stays)
• damage by a cause listed in or specifically excluded by Section 1A, other than:
− tobacco burns − loss or damage caused by water overflowing
from sinks, wash basins, bidets, showers and baths as a result of taps being left on in your home
✘✔Clearance costs We will pay the costs of clearing the site and making it safe if we need to before repairing or rebuilding the buildings after damage covered under Section 1.
✘✔Professional fees We will pay fees for chartered architects, surveyors, suitably qualified consultants and legal fees necessary for us to rebuild your home.✘✘ We won’t pay any fees for preparing your claim.
✘✔Government or local authority regulations and requirementsWe will pay the additional costs of rebuilding or repairing the damaged part of the buildings only if this is necessary to comply with any government or local authority regulations and requirements after damage covered under Section 1. ✘✘ We won’t pay if you were told about the requirement before the damage happened.
✘✔The time between exchange and completion when selling your homeWe will cover the buyer of your home under Section 1 until the sale completes, as long as the property isn’t insured under any other policy.
B Additional cover continued C Accidental damage
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Section 1 Buildings
You’re covered for
✘✔Property owner’s liabilityWe will pay up to £5,000,000 to cover your legal liability for damages you have to pay if someone makes a claim against you for: • accidental death or illness of, or bodily injury to,
any person • accidental loss of or damage to property.This will also include costs, expenses and legal fees for defending you, if we have agreed this in writing beforehand.
We will pay ifThe death, illness, bodily injury, loss or damage must be caused solely by you, either:• as owner of your current home, or • by defective work carried out by you or on your
behalf to any private residence within the United Kingdom that you used to own.
Any liability that arises solely from you occupying your home, but not as owner of the property, is not covered under this section. However, if you have our Contents cover, this covers liabilities arising from you occupying your home.
Previous homesIf the claim is for a home you used to own and live in:• you must not be covered by any other
insurance, and • you must no longer have any interest in
that property.
You’re not covered for
✘✘ Damages resulting from claims made against you for: • death or illness of or bodily injury to you or
your domestic staff• damage to property belonging to or in the
custody or control of you or your domestic staff death, illness, injury, loss or damage caused by any business
• any liability created by an agreement, unless you would have had that liability anyway
• any incident that happens outside the period of insurance.
D Property owner’s liability
Section 1 Buildings continued
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E If you claim
Your excess You will have to pay any excesses shown in your schedule. This includes the specific excesses for:• subsidence, heave or landslip• escape of water. We will only take off one excess for each claim, unless there is an endorsement shown in your policy schedule to say otherwise. If we have asked a supplier to deal with all or part of your claim, we may ask them to collect the excess from you.
Our guaranteeWe guarantee any work carried out by our suppliers for 12 months. We don’t provide any guarantee for work carried out by a supplier chosen and instructed by you.
Reducing your sum insuredWe will not reduce the sum insured after paying a claim.
What we don’t pay for
✘✘ We won’t pay:• to alter or restore any undamaged part of
the buildings• to replace or alter any undamaged items solely
because they are part of a set, suite, group or collection, unless they are part of a bathroom suite or fitted kitchen and the damaged parts can’t be repaired or replaced.
How we settle claimsIf the buildings are damaged by any of the causes listed in [Section 1], we will either: • repair or rebuild the damaged part using our suppliers • pay to repair or rebuild the damaged part using
your suppliers • make a cash payment.If we can repair or rebuild the damaged part, but we agree to use your suppliers or make a cash payment, we will only pay you what it would have cost us using our suppliers and therefore the amount you receive may be lower than the cost charged by your suppliers.If we cannot repair or rebuild the damaged part, we will pay the full cost of rebuild or repair.If the damage to the buildings isn’t repaired or rebuilt , we may pay the difference between the market value of your property immediately before the damage and its value after the damage. We may take off an amount for wear and tear if the buildings were not in a good state of repair at the time of the damage.
How much we will payThe most we will pay for any claim will be:• the total sum insured shown on your schedule or
the full rebuild cost of your buildings, whichever is less, plus
• any amounts due under the following parts of Section 1B:
− Alternative accommodation, kennel fees and lost rent
− Clearance costs − Professional fees − Government or local authority regulations and
requirements.If the sum insured isn’t enough to cover the cost to rebuild your buildings, we will reduce any payment in line with the premium shortfall.For example, if your premium was 75% of what it would have been if the sum insured was enough to rebuild your buildings, we will pay no more than 75% of your claim.
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Section 2 Contents
A Core cover
✘✔ Fire, explosion, lightning, earthquake and smoke✘✘ We don’t cover loss or damage caused by:• heat distortion unless accompanied by flames• tobacco burns, unless accompanied by flames.
✘✔Being hit by vehicles, aircraft, flying objects and animalsWe also cover damage from anything that drops from an aircraft or flying object. ✘✘ We don’t cover:• damage caused by pets.
✘✔Subsidence or heave of the site on which your home stands, or landslip ✘✘ We don’t cover loss or damage caused by:• normal bedding down of new structures or
shrinkage• settling of newly made up ground • coastal or river erosion• demolition or structural repairs or changes
to your home.
✘✔Vandalism or malicious acts✘✘ We don’t cover: • loss or damage caused by paying guests or
tenants• loss or damage when it has been more than
60 days since you last slept at your home on a regular basis (which doesn’t include occasional visits or stays).
✘✔ Falling trees or branches
✘✔ Falling TV aerials, radio aerials, satellite dishes and their fittings
✘✔Riot, civil unrest, labour disputes or political disturbance
The contents in your home are covered for damage caused by
✘✔Storm or flood
✘✔Water or oil escaping from fixed water or heating systemsWe also cover water or oil escaping from:• underground drains and pipes• domestic appliances• storage tanks. ✘✘ We don’t cover:• subsidence, heave or landslip damage caused
by escaping water or oil under this section. However, you may have cover under the section ‘Subsidence or heave of the site on which your home stands, or landslip’ below
• tanks, pipes, appliances or heating systems themselves
• damage caused by the failure, wear and tear or lack of grouting or sealant
• loss or damage caused by water overflowing from sinks, wash basins, bidets, showers and baths as a result of taps being left on in your home
• loss or damage when it has been more than 60 days since you last slept at your home on a frequent and regular basis (not including occasional visits or stays).
✘✔Theft or attempted theft from your home✘✘ We don’t cover: • loss by deception, unless the only deception
used is to get into your home• loss of money unless force and violence is used
to get into or out of your home• loss or damage caused by paying guests or
tenants, or while your home or any part of it is let
• loss or damage when it has been more than 60 days since you last slept at your home on a frequent and regular basis (not including occasional visits or stays).
We will pay up to £5,000 for any contents claim following a theft from your garage or outbuildings.
Section 2 Contents! Defined words appear in bold – see page 39 for definitions. Your schedule will show if you have this cover.
Section 2 Contents continued
Page 14
✘✔Alternative accommodation, kennel fees and storageWe will pay up to £30,000 if your home is uninhabitable following a valid claim made under Section 2A or 2C for:• the cost of providing alternative accommodation
for you and kennel fees for your pets while your home is uninhabitable
• the cost of temporarily storing your contents while your home is being repaired.
We will only provide cover for your contents if:• they aren’t covered by any other insurance policy • we have arranged for their temporary storage.Alternative accommodation where appropriate will be reflective of the individuals’ needs. Each claim will be reviewed taking into account the duration, location and occupancy and will continue for the shortest amount of time necessary to restore/replace your contents and/or to make your home habitable.✘✘ We won’t pay for:• Any subscription based services to your
alternative accommodation• Any costs associated with keeping livestock
and/or horses.Please note we may not pay for costs you incur without our prior agreement.
✘✔Contents outside We will pay up to £2,500 for loss of or damage to your contents from any of the causes listed under Sections 2A and 2C while they are outside, but within the boundaries of your home. ✘✘ We won’t pay for:• loss of money• loss of or damage to bicycles• loss or damage when it has been more than
60 days since you last slept at your home on a frequent and regular basis (not including occasional visits or stays).
✘✔Contents temporarily away from your homeWe will pay up to £10,000 for loss of or damage to contents from any cause insured under Section 2A while the items are temporarily away from your home in the British Isles.
B Additional cover
You’re covered for ✘✔ Frozen and chilled foodsWe will pay the cost of replacing any food in your freezer or fridge that is lost or damaged by: • the temperature rising or falling• the refrigerant or refrigerant fumes escaping. ✘✘ We won’t pay:• if your freezer or fridge is over 10 years old,
unless it is regularly serviced• for loss or damage resulting from a deliberate act
or neglect by you, or by your electricity provider or their employees or agents
• for loss or damage when it has been more than 60 days since you last slept at your home on a frequent and regular basis (not including occasional visits or stays).
✘✔ Loss of keys We will pay to replace and fit locks: • on the outside doors of your home; or• to any safe or alarm system in your home if the keys have been lost or stolen.
✘✔Moving home We will pay for loss of or damage to your contents by a cause listed under Sections 2A and 2C while the contents are being moved from your home to another private property that you are going to live in permanently within the British Isles. This includes cover while the contents are temporarily stored for up to 72 hours.✘✘ We won’t pay for loss or damage:• to money• to china, glass, earthenware or other
fragile items• to bicycles• caused by any paying guest or tenant.
✘✔Oil and metered waterWe will pay for the value of:• oil from a domestic heating installation • metered water that is lost by a cause insured under Section 2A.
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Section 2 Contents
✘✘ We won’t pay for: • bicycles• camping equipment• loss of money• loss by deception• loss of or damage to guests’ belongings • loss by theft, vandalism or malicious acts unless
these happen in an occupied private home or building where you work, or force and violence is used to enter the building
• personal possessions.
• If you have our Personal Possessions cover, this covers damage to or loss of your personal possessions.
✘✔Contents at university, college or boarding schoolWe will pay up to £10,000 for loss of or damage to contents from any cause insured under Section 2A while the items are being kept in your lodgings whilst you’re away at university, college or boarding school in the British Isles.✘✘ We won’t pay for: • bicycles• camping equipment• loss of money• loss by deception• loss of or damage to guests’ belongings• loss by theft, unless there is evidence of forcible
and violent entry to your lodgings• personal possessions.
• If you have our Personal Possessions cover, this covers damage to or loss of your personal possessions.
✘✔Downloaded contentWe will pay up to £3,000 to replace content that you have bought and stored on your home computer, mobile phone or other portable entertainment device that is lost or damaged by any cause listed in Section 2A.✘✘ We won’t pay for rewriting the lost information.
✘✔Garden plantsWe will pay • up to £2,500 for loss of or damage to trees,
shrubs, plants and lawns at your home and any design fees necessary to put it right. Within this limit we will pay up to £500 for any one plant, shrub or tree.
• for loss of or damage to trees, shrubs, plants and lawns following subsidence, but only if your home is damaged at the same time and by the same cause.
✘✘ We won’t pay for: • loss or damage caused by any pets, other
animals, birds, insects, fungus, or frost• trees, shrubs, plants or lawns which die
naturally, or die because you haven’t looked after them properly
• loss or damage caused by storm, flood, or weight of snow
• loss or damage when it has been more than 60 days since you last slept at your home on a frequent and regular basis (not including occasional visits or stays).
✘✔Birth of a child, religious festivals and weddings or civil partnershipsWe will increase the sum insured for contents by 10% for 30 days before and 30 days after:• you have a baby • a religious festival that you celebrate• your wedding or civil partnership ceremony.The date of the birth, wedding, civil partnership or religious festival and the 30 days periods, must be within the period of insurance on your schedule.
✘✔Title deedsWe will pay the cost of preparing new title deeds to your home after loss or damage by any cause insured under Section 2A while the deeds are in your home or in your bank for safe keeping.
Section 2 Contents continued
Page 16
You’re covered for
✘✔Personal liabilityLiabilities arising from you occupying your home and your personal liabilities as a private individual in and away from your home. We will pay up to £5,000,000 to cover your legal liability for damages you have to pay if someone makes a claim against you during the period of insurance for: • accidental death or illness of, or bodily injury to,
any person• accidental loss of or damage to property.This will also include costs, expenses and legal fees for defending you, if we have agreed this in writing.Any liability that arises solely from you owning your home is not covered under this section. However, you may have cover under ‘Property owner’s liability’ if you have our Buildings cover.
You’re covered for
✘✔Accidental damage to your contentsWe will pay for accidental damage to your contents while they are in your home or being moved to your new home.Accidental damage is sudden and unintentional physical damage that happens unexpectedly.
You’re not covered for
✘✘ We won’t pay for:• damage to bicycles • damage to money• damage caused by any paying guest or tenant• loss or damage when it has been more than
60 days since you last slept at your home on a frequent and regular basis (not including occasional visits or stays)
• damage by a cause listed in or specifically excluded by Section 2A, other than:
− tobacco burns − loss or damage caused by water overflowing
from sinks, wash basins, bidets, showers and baths as a result of taps being left on in your home
C Accidental damage D Personal liability
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Section 2 Contents
You’re not covered for
✘✘ Any liability relating to:• death or illness of, or bodily injury to, you or
your domestic staff• damage to property belonging to or being
looked after by you or your domestic staff• death, illness, injury, loss or damage caused by:
− you owning or occupying any land or building except your home or temporary holiday accommodation
− any business − an agreement, unless that liability would have
existed anyway.• you owning, keeping or using any:
− vehicles, except caravans and trailers while they are not being towed
− drones or model aircrafts − animals except domestic pets − horses, ponies, donkeys or mules − dangerous dogs as described under the
Dangerous Dogs Act 1991 or the Dangerous Dogs (Northern Ireland) Order 1983 and any updates to that legislation.
• any disease that can be passed from one person to another.
• Liability for accidental death or illness of, or bodily injury to, your domestic staff is covered under Section 2E Employer’s liability.
You’re covered for
✘✔Employer’s liabilityWe will pay up to £10,000,000 to cover damages you become legally liable to pay for any claim caused by a single incident involving accidental death or illness of, or bodily injury to, your domestic staff.This will also include costs, expenses and legal fees for defending you, if we have agreed this in writing beforehand. We only cover incidents that happen within the period of insurance on your schedule.
E Employer’s liability
Section 2 Contents continued
Page 18
You’re covered for
✘✔Tenant’s liabilityWe will pay up to £10,000 for any claim resulting from a single incident for amounts you become legally liable to pay as a tenant of your home for damage caused to the buildings by any cause covered by Section 1A. This also includes any amounts you become legally liable to pay for accidental damage to:• underground drains, pipes, cables and tanks
which you are legally responsible for and which provide services to or from your home
• fixed glass in windows, doors or roofs, fixed ceramic hobs, sinks and bathroom fittings in your home.
Accidental damage is sudden and unintentional physical damage that happens unexpectedly.
You’re not covered for
✘✘ We won’t pay for:• breakages caused by your paying guests
or tenants • loss or damage when it has been more than
60 days since you last slept at your home on a regular basis (which doesn’t include occasional visits or stays).
How we settle claims
For any item of contents that is lost or damaged we will choose whether to: • replace or repair the item or part• pay the cost of replacing or repairing the item
or part, up to the amount it would have cost to replace or repair using our own suppliers, or
• make a cash payment.We won’t pay more than the amount it would have cost us to replace or repair using our own suppliers.If appropriate parts or replacement items are not available, we will pay the full cost of the item, provided the sum insured is adequate.
How much we will payThe most we will pay for any claim will be: • the Contents sum insured shown in your schedule• the amount shown in your schedule for any loss of
or damage to valuables that you haven’t included as specified items
• £4,000 for any one valuable (whether an item, set or collection) unless your schedule shows otherwise
• the sum insured shown in the schedule for any specified item
• £10,000 for business equipment• £1,000 for money • £1,000 for guests’ belongings• £5,000 for theft from garages or outbuildings• the amounts shown in Section 2 under
the headings: − Alternative accommodation, kennel fees
and storage − Contents temporarily away from your home − Contents at university, college or
boarding school − Downloaded content − Contents outside − Garden plants.
G If you claim F Tenant’s liability
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Section 2 Contents
On top of your total sum insured, we will also pay for: • Alternative accommodation, kennel fees
and storage• Garden plants• Loss of keys• Oil and metered water• Title deeds.If the sum insured isn’t enough to cover the cost to replace all of the contents of your home as new, we will reduce any payment in line with the premium shortfall.For example, if your premium was 75% of what it would have been if the sum insured was enough to replace the entire contents of your home as new, we will pay no more than 75% of your claim.
Your excessYou will have to pay any excesses shown in your schedule. This includes the specific escape of water excess. We will only take off one excess for each claim, unless there is an endorsement shown in your policy schedule to say otherwise. If we have asked one of our suppliers to deal with all or part of your claim, we may ask them to collect the excess from you.
Sets and suitesIf part of a set or suite is lost or damaged, and we can’t replace or repair it , we will:• replace the set or suite as new• pay the cost of replacing the set or suite as new,
up to the amount it would have cost us to replace the item using our own suppliers, or
• if no equivalent or replacement set or suite is available, pay the full cost of the item, provided the sum insured is adequate.
If we ask you to, you will have to give up the undamaged parts of the set or suite to us where the full replacement cost has been paid.
Specified itemsIf you claim for an item listed in your schedule, you will need to give us proof of the item’s value. To help you do this, we recommend that you keep receipts and copies of valuations.
Reducing your sum insuredWe will not reduce the sum insured after paying a claim.
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Section 3 Personal Possessions! Defined words appear in bold – see page 39 for definitions. Your schedule will show if you have this cover.
B Additional cover A Core cover
Your personal possessions are covered for
✘✔Accidental loss and damage We will pay for accidental loss of or damage to:• your personal possessions • any other items listed on your schedule under
‘Personal possessions’ while they are within the British Isles. This includes cover for:• possessions stolen from your unattended
vehicle, but only if the vehicle is locked and your possessions are hidden from view in a closed glove compartment or locked boot
• loss or damage to bicycle tyres and accessories, but only if the bicycle is lost or damaged at the same time
• the theft of an unattended bicycle, but only if it is in a locked building or secured with a bike lock to an immovable object.
Your personal possessions aren’t covered for
✘✘ We don’t pay for loss of or damage to • business equipment• vehicles• watercraft propelled by hand (such as
a surfboard or rowing boat)• sports equipment, while it is in use• camping equipment while it is set up or in use • items taken by Customs or other officials• any bicycle while it is being used for
organised racing, pace-making or trials• Money. You may have cover under section 3B
Money.✘✘ We also don’t pay for loss or damage:• for theft involving deception• by any paying guest or tenant• covered under Section 2A.
You’re covered for
✘✔ Items in a bankWe will pay for accidental loss of or damage to items listed on your schedule as being in a bank or safe deposit box.We will also cover items when they are taken out of the bank or safe deposit box if we have agreed that they can be temporarily taken out.
✘✔MoneyWe will pay up to £1,000 for the theft or accidental loss of money which is either with you, or which you have left in a secure place, anywhere in the world. You must report the theft or loss to the police within 24 hours. ✘✘ We don’t pay for:• shortages caused by mistake (eg someone
shortchanging you) • any loss in value (eg as a result of currency
devaluation)• money confiscated by Customs or other
officials.
✘✔Overseas travelWe will cover items that are insured under Section 3A for up to 60 days in any one policy year while they are temporarily outside the British Isles. You must either have the items with you, or have left them in a secure place.
You’re not covered for
✘✘ We don’t pay for anything that is excluded under Section 3A.
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Section 3 Personal Possessions
C If you claim
Your excessYou will have to pay any excesses shown on your schedule. We will only take off one excess for each claim, unless there is an endorsement shown in your policy schedule to say otherwise. If we have asked a supplier to deal with all or part of your claim, we may ask them to collect the excess from you.
Sets and suitesIf part of a set or suite is lost or damaged and we can’t repair or replace it, we will choose whether to: • replace the set or suite with a new set or suite • pay the cost of replacing the set or suite with a new
set or suite• make a cash payment up to the cost of replacing
or repairing the set or suite with a new set or suite using our suppliers.
If no equivalent or replacement set or suite is available, we will pay the full cost of the set or suite. We won’t pay more than your total sum insured. If the full replacement cost has been paid, we may ask you to give us the undamaged parts of the set or suite.
Specified itemsIf you claim for an item listed in your schedule, you will need to give us proof of the item’s value. To help you do this, we recommend that you keep receipts and copies of valuations.
How we settle claims
For any personal possession, set or part of a set that is lost or damaged we will choose whether to: • replace or repair the item or part• pay the cost of replacing or repairing the item
or part, up to the amount it would have cost to replace or repair using our own suppliers, or
• make a cash payment.We won’t pay more than the amount it would have cost us to replace or repair using our own suppliers.If appropriate parts or replacement items are not available, we will pay the full cost of the item, provided the sum insured is adequate.
How much we will pay The most we will pay for any claim will be: • the Personal Possessions sum insured shown on
your schedule • £4,000 for any one item, set or collection unless
your schedule shows otherwise • £1,000 for any bicycle unless it is specified on
your schedule• £2,000 for theft from an unattended motor vehicle.
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Section 4 Family Legal Protection! Defined words appear in bold – see page 39 for definitions. Your schedule will show if you have this cover.
We will provide cover under section 4 Family Legal Protection as long as:• we and the appointed representative agree that
your claim has reasonable prospects of success for the duration of the claim
• the incident happens within the territorial limits and the date of incident is during a period cover was in force, and
• any legal proceedings are carried out within the territorial limits by a court.
The cover we provide
Legal expensesBefore you incur any costs, you must contact the legal helpline on 0345 246 0433. The helpline is open 24 hours a day, 365 days of the year. You can ring the legal helpline to talk about any private legal problem under United Kingdom law, whether or not it results in a claim. We will advise you of your legal rights, what courses of action are available to you and whether you need to consult a lawyer.The legal helpline does not provide advice in relation to any claim made under this policy or in relation to any business, trade, profession or venture for gain.Please have your home insurance policy number with you when you call.
You’re covered for
✘✔Personal injuryWe will pay costs for an incident that causes physical bodily injury to you, or leads to your death.We will only pay costs for claims relating to mental health if they result from an accident that also causes physical bodily injury to you.✘✘ We don’t cover claims arising from or relating to: • illness or injury that develops gradually or isn’t
caused by a specific or sudden accident• defending your legal rights in claims against you• clinical negligence other than those covered
under ‘Clinical negligence’ below.
✘✔Clinical negligenceWe will pay costs where negligent surgery, clinical or medical procedure or treatment leads to:• physical bodily injury to you, or• your death. We will only pay costs for claims relating to mental health if they result from negligent surgery, clinical or medical procedure or treatment that also causes physical bodily injury to you.✘✘ We don’t pay for claims arising from or relating to: • negligent surgery, clinical or medical procedures,
or treatment that occurred before cover started• any alleged failure to correctly diagnose
your condition.
A Core cover
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Section 4 Family Legal Protection
✘✔EmploymentWe will pay costs for any dispute you have with your current or former employers at an Employment Tribunal. We will only pay the costs of defending your legal rights in claims against you where you are defending a counter-claim. We will only pay costs relating to settlement agreements if you are also in a position to make an Employment Tribunal claim. ✘✘ We don’t cover claims arising from or relating to:• any disciplinary, investigatory or grievance
procedures within the company you work for, or any appeals against the outcomes of these procedures
• redundancy consultations• disputes that start in or are transferred to the
county court or high court or the equivalent courts in the territorial limits.
✘✔Contract disputesWe will pay costs for breach of contract claims for:• buying or hiring goods or services• selling goods• buying or selling your home.We will only pay costs for claims relating to advice, specification, design, construction, conversion, extension, renovation or demolition relating to any land or buildings, if they are part of your home and the contract value is less than £20,000 (including VAT). ✘✘ We don’t cover claims arising from or relating to: • contracts you entered into before your cover
started• leases, tenancies or licences to occupy land or
buildings• contracts connected with a profession, business,
trade or venture for gain• contracts connected with your employment
other than those covered under ‘Employment’ below
• loans, mortgages, pensions, investments or borrowing
• planning (eg town and country planning)• professional negligence in connection with
any matter not covered under this section (Section 4).
Section 4 Family Legal Protection continued
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✘✔Protecting your propertyWe will pay costs for the following claims arising out of owning or living in your home:• legal nuisance• trespass to your home• physical damage to your home.We will only pay for claims relating to works carried out by a government, public or local authority or their contractors if they are for accidental physical damage.We will only pay the costs of defending your legal rights in claims against you if you are defending a counter-claim. ✘✘ We don’t cover claims arising from or relating to: • any building or land other than your home• planning (eg town and country planning)• advice, specification, design, construction,
conversion, extension, renovation or demolition on any land or relating to any buildings
• leases, tenancies or a licence to occupy land or buildings.
✘✔Motoring offencesWe will cover costs to defend you if you are being prosecuted for an offence connected with using or driving a motor vehicle. You must send us a copy of your summons within 7 days of receiving it.✘✘ We don’t cover claims arising from or relating to: • prosecutions resulting from drink- or drug-related
offences• you driving a motor vehicle without valid motor
insurance• offences related to driving licences or
vehicle documentation• parking or obstruction offences.
✘✔ Inheritance disputesWe will cover the costs of claims for a dispute over something left to you in a will.✘✘ We don’t cover claims arising from or relating to: • disputes with executors about the management
of the estate• disputes between you and another beneficiary
regarding the administration or disposal of any item left to you in a will
• the negligent drafting of a will• situations where a will has not been made
or concluded, or can’t be traced (this is called ‘intestacy’).
✘✔ Legal defenceWe will cover the costs of claims arising from you carrying out your duties of work as an employee that lead to:• you being prosecuted in a criminal court within
the territorial limits• civil action being taken against you for
unlawful discrimination.
A Core cover continued
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Section 4 Family Legal Protection
You’re covered for
✘✔Salary while you attend jury serviceWe will pay your salary or wages for each complete half day you carry out jury service if you can’t claim them back from the court or your employer.
B If you attend jury service
The most we will pay, including any appeal or counterclaim, is:• £100,000 costs (including VAT) for all claims
arising from the same incident under Section 4A Core cover
• £100,000 for your salary or wages for all claims arising from the same incident under Section 4B Salary while you attend jury service.
If you claim
Section 4 Family Legal Protection continued
Page 26
Losses not covered that only apply to Section 4 Family Legal Protection
Conditions and losses not covered
The losses not covered apply to this section in addition to the losses not covered on pages 7 and 38.
✘✘ We don’t cover claims arising from or relating to:• costs relating to the period before we accept
your claim• action against another person who is insured by
this policy• fines, penalties, compensation or damages
which you are ordered to pay by a court• any dispute between you and someone you live
with or have lived with• divorce, separation, matrimonial or civil
partnership issues, cohabitation, joint property ownership, joint financial obligations or maintenance, financial or custody arrangements involving children
• a judicial review – an application for a judge to review the legality of a decision made or action taken by a public body
• any dispute with us about this insurance policy other than as shown under ‘How to make a complaint’ (see page 43)
• incidents that begin before cover started• loss or damage that is insured under
another section of this policy or any other insurance policy
• any appeal or enforcement action where we did not provide cover for the original claim
• a group action (unless the claims are brought under “Employment”). This means any dispute where more than one person can claim against the same opponent(s) for the same (or similar) issues, whether or not the claims are heard together by the same Court or other body. This includes any claims brought under a Group Litigation Order (or the equivalent procedure) or as a standalone claim.
Following the policy termsYou must follow all of the terms and conditions of this policy, and take all reasonable precautions to prevent a claim from happening. Where a claim is unavoidable, you must take all reasonable precautions to minimise the amount of the claim. If our position is affected because you have not followed the terms and conditions of this policy, we have the right to: • refuse or withdraw from any claim• refuse to pay costs we have already agreed
to meet • claim back from you costs that we have paid.
Reporting your claimYou must report full and factual details of your claim to us within a reasonable time of the date of incident.You must send us any reasonable and relevant information that we ask for. You must pay for any charges involved in doing this.
Conditions that only apply to Section 4 Family Legal Protection
These conditions apply to this section in addition to the general conditions on page 35. Note that the following conditions do not apply to Section 4 Family Legal Protection: • The general conditions under ‘Policy terms and
conditions’ and ‘Preventing loss’.• The claims conditions listed on page 34.
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Section 4 Family Legal Protection
Choosing who represents youIf we accept your claim, we will choose a preferred law firm to try to settle the matter without having to go to court. If it is necessary to take your claim to court, or if there is a conflict of interests, you can choose a law firm to act as the appointed representative.If you choose an appointed representative who isn’t a preferred law firm they must agree to act for you in line with our terms of appointment (you can ask us for a copy). We will only cover their costs from the date they agree to our terms of appointment. The appointed representative will enter into a separate contract of appointment directly with you. You will be responsible for any of their costs that aren’t authorised by us.
Co-operating with the appointed representative and us If we ask, you must tell the appointed representative to give us any documents, information or advice that they have or know about.You must fully co-operate with the appointed representative and with us.You must not take any action that has not been agreed by your appointed representative or by us.You must keep us and your appointed representative promptly informed of all developments relating to the claim and provide us and the appointed representative immediately with all information, evidence and documents that you have or know about.You must get our permission before instructing a barrister or expert witness.We can contact the appointed representative at any time, and they must co-operate with us at all times.
Section 4 Family Legal Protection continued
Page 28
Offers to settle your claim You must tell us if anyone makes a payment into court or offers to settle your claim.We can refuse to pay further costs if you do not accept a payment into court, or an offer to settle a claim, which we or your appointed representative considers should be accepted.
Approval to settle or end your claim You must not stop, settle, negotiate or withdraw from a claim or withdraw instructions from the appointed representative without our approval. We won’t withhold approval without good reason.
If the appointed representative refuses to continue acting for you, or if you dismiss them If an appointed representative refuses to continue acting for you with good reason, or if you dismiss them without good reason, cover for your claim will end immediately unless we agree to appoint another appointed representative.
Barrister’s opinionIf there are conflicting opinions over the reasonable prospects of success, we will ask you to get an opinion from a barrister. We will agree the choice of barrister with you. You will have to pay for the opinion unless it shows that your claim has reasonable prospects of success.
Conditions and losses not covered continued
Page 29
Section 4 Family Legal Protection
Economically settling your claim We can decide to settle your claim by paying you the compensation you are likely to be awarded by a court instead of starting or continuing your claim or legal proceedings. If your claim is not for damages, we may decide to settle your claim by paying you the equivalent financial value of your claim.
If costs become disproportionate We can refuse to pay further costs if we or the appointed representative consider that those costs would be disproportionate to the value of the claim.
If your claim no longer has reasonable prospects of success You must tell us if your claim no longer has reasonable prospects of success. We can refuse to pay further costs if your claim no longer has reasonable prospects of success.
Assessing costs We have the right to have costs: • certified by the appropriate professional body • audited by an costs draftsman we choose • assessed by a court.
Recovering costs You must tell the appointed representative to claim back all costs that you are entitled to. If costs we have paid are recovered, you must refund them to us. We and you will share any costs recovered where: • we refused to pay further costs and you paid more
costs to end your claim. • you chose to pay the difference between the costs
we offered to the appointed representative under our terms of appointment and the costs charged by the appointed representative.
Recovered costs will be split in the same ratio as the costs originally paid: so if you paid 60% of the original costs, you will receive 60% of the recovered costs.
Page 30
If you have an emergency
If there is an emergency in your home, when you call us:• we will tell you what you can do in order to protect
yourself and your home• we will send an authorised repairer to your home• we will pay up to £500 (including VAT) for each
emergency assistance call out to cover the cost of:
− the call out − labour at your home − parts.
In the event that your home is not fit to be lived in as a result of an emergency and remaining so overnight, we shall also at your request, arrange and pay up to £250, including VAT in total for:• one night’s accommodation for you and• one night’s kennel fees for your dogs and/or cats
including transport costs.
Section 5 Home Emergency! Defined words appear in bold – see page 39 for definitions. Your schedule will show if you have this cover.
Please note this section of cover is provided by an external company appointed by us.
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Section 5 Home Emergency (optional)
You’re covered for
✘✔Plumbing and drainageWe will pay the cost of emergency assistance needed for an emergency involving:• internal plumbing and drainage • underground external drainage for which
you are legally responsible.✘✘ We won’t pay:• the cost of repairs to the underground water
supply to your home• more than your share of the cost, if your
property is a flat or maisonette• to replace pumps, water tanks, radiators,
cylinders, water softeners, waste disposal units, macerators or part of your central heating
• for loss or damage when it has been more than 60 days since you last slept at your home on a frequent and regular basis (not including occasional visits or stays).
Home Emergency cover
✘✔HeatingWe will pay for emergency assistance needed if the main source of heating in your home fails If we find out your boiler is beyond economic repair, we will pay £250 towards the cost of a new one✘✘ We won’t pay: • to repair leaks from any gas pipe or
gas-fired appliance• to repair a boiler that is beyond
economic repair• to replace your main source of heating• to repair or replace your cold water supply tank,
its supply and outlet• to repair or replace water supply pipes to
or from: − your hot water cylinder − any gas appliance
• to repair, replace, bleed or clear the airlocks of any radiators
• to remove asbestos connected to any repair• for loss or damage when it has been more than
60 days since you last slept at your home on a frequent and regular basis (not including occasional visits or stays).
✘✔Electrical supplyWe will pay the cost of emergency assistance needed if the permanent electrical supply to your home fails. ✘✘ We don’t cover: • any temporary electrical wiring• wiring that is outside your home • the electrical supply to outbuildings or garages
that aren’t attached to your home.
Section 5 Home Emergency continued
Page 32
Conditions and losses not covered
Losses not covered that only apply to Section 5 Home Emergency
✘✘ We won’t pay for: • loss or damage before your cover starts• loss or damage that happens in the first 14 days
of cover• the cost of work carried out by anyone except
the authorised repairer we have sent• things that need replacing after normal use, like
light bulbs and fuses• loss or damage caused by any interruption of
mains services to your home• any system or appliance which:
− has not been installed, maintained or repaired in line with the manufacturer’s instructions
− has not been used properly − has not been modified correctly − has a manufacture or design fault.
• loss of or damage to any decoration, fixtures or fittings that happens during an emergency assistance call out (note you may be covered if you have cover under Sections 1 and/or 2 of this policy)
• replacing any system or appliance if spare parts can’t be found after a thorough search
• loss or damage caused by fire, lightning, explosion, earthquake, flood, storm, subsidence, heave, landslip, malicious damage, theft or attempted theft (unless the emergency involves the locks to external doors or windows), structural repairs, alteration or demolition
• any work, including power flushing, due to water scale deposits or sludge caused by corrosion
• any household appliances such as, but not limited to, washing machines or dishwashers.
The losses not covered apply to this section in addition to the losses not covered on pages 7 and 38.
✘✔SecurityWe will pay for emergency assistance if the locks on the external doors or windows of your home:• are damaged• stop working unexpectedly.We will only pay to repair damage to windows or glass in external doors if not doing so would leave your home unsafe or insecure. ✘✘ We won’t pay for: • replacement locks if the keys to your home
are lost or stolen (note you may be covered if you have cover under Sections 1 and/or 2 of this policy)
• repair or replacement of any intruder or fire alarm systems
• loss or damage when it has been more than 60 days since you last slept at your home on a frequent and regular basis (not including occasional visits or stays).
✘✔PestsWe will pay the cost of dealing with pests that cause an emergency in your home.✘✘ We won’t pay: • if you haven’t followed any recommendations
we have previously given you on how to control pests
• for loss or damage when it has been more than 60 days since you last slept at your home on a frequent and regular basis (not including occasional visits or stays).
Home Emergency cover continued
Page 33
Section 5 Home Emergency (optional)
Conditions that only apply to Section 5 Home Emergency
Asking for emergency assistanceIf an emergency happens that may need an emergency assistance call out, you must contact us straight away on 0345 301 6242.
Preventing lossYou must take all reasonable steps to prevent loss, damage or breakdown and keep your home, its systems and appliances in a good state of repair.
Spare or replacement partsThe spare or replacement parts we use:• may not be from the original manufacturer • may not be a like-for-like replacement. We are not responsible for any delay in supplying spare or replacement parts.
Help when it’s not an emergencyIf something happens that‘s not an emergency under this policy we can arrange for an authorised repairer to call at your home. You will have to pay any costs and the contract will be between you and the repairer. We don’t class this as a call out.
These conditions apply to this section in addition to the general conditions on page 35.
CancellationYou may cancel this section of your policy at any time by contacting us on 0345 303 5784 or sending us notice in writing.• if you cancel before the new period of insurance is
due to start, we will return any premium paid in full• if you cancel this section after it has started we
will return any premium paid less a charge for the number of days you have had cover.
We will not refund any premium if:• you have made a claim during the period of
insurance• a claim has been made against you during the
period of insurance.
Page 34
for details about your professional customer representative.We will not continue dealing with a professional customer representative and instead only deal with you directly if: (i) the professional customer representative’s behaviour is unreasonable; (ii) the negotiations regarding settlement are not concluded within a reasonable timeframe; and/or (iii) there is no reasonable prospect of a settlement being concluded in line with the policy within a reasonable timeframe.You may not assign or transfer your policy, or any right or obligation under that policy to any third party, including a professional customer representative, without our prior express written consent.We will always retain the right to communicate directly with you even if you have instructed a professional customer representative.If you instruct a professional customer representative, we may still pay any claim settlement directly to you. If you ask us, we may at our own discretion agree to pay the claim settlement to the professional customer representative. If we do this we will have paid your claim in full, and will not be responsible for the work carried out by your professional customer representative, or whoever they appoint, and will not be liable for any further costs associated with that work.
If you don’t follow our claim conditions, and this negatively affects our position: • we will reject your claim or be unable to deal with
it, or• we will not pay your claim in full.
Handing over damaged itemsYou should only hand over damaged items when we, or one of our suppliers, ask you to do so.
Enforcing your rightsWe may at our expense and in your name take steps to enforce your rights against any other person either before or after we pay a claim. You must give us any information or assistance we need.
Other insurance policiesWe will not pay any claim if you have cover under any other insurance policies.
Claims conditions
Reporting claimsWhen you find out about anything you need to claim for, or may need to claim for, you must tell us as soon as possible.
If you make a buildings, contents, personal possessions or home emergency claim (but not a liability claim) For any claim you must:• give us any relevant information and evidence that
we ask for, including proof of ownership or value of the lost or damaged item and written estimates for repair. You will have to do this at your own expense
• allow us (or our appointed suppliers) to access or inspect the damaged items and/or property
• immediately tell the police: − about any loss or damage by deception, theft,
attempted theft, vandalism or malicious acts.
If you make a liability claimFor any claim you must:• send us any letter, claim, writ or summons in
connection with the claim or potential claim as soon as you receive it, unanswered
• get our written consent before admitting, denying, negotiating or settling a claim.
We may take over, defend or settle the claim, or take up any claim in your name for our own benefit. You must give us all the information and help we need.
Professional Customer RepresentativeWe will not deal with a professional customer representative unless they are authorised and regulated by their regulatory authority. If that is the Financial Conduct Authority, you can check the Financial Services Register www.fca.org.uk/register/
Other policy conditions
These apply to: • Section 1 Buildings• Section 2 Contents• Section 3 Personal Possessions• Section 5 Home EmergencyThese conditions do not apply to Section 4 Family Legal Protection.
Page 35
Other policy conditions
Policy terms and conditionsYou must keep to the policy terms, conditions and endorsements. If you don’t:• your policy may be invalidated• we may reject your claim• we may not pay your claim in full.
Preventing lossYou must take reasonable care to prevent loss, injury or liability, damage or accidents to the buildings and contents covered under this policy.
Maintaining your buildings and contents You must keep the buildings, contents and personal possessions covered under this policy in good condition.
FraudYou must be honest in your dealings with us at all times.We will not pay a claim that is in any way fraudulent, false or exaggerated.If you, any person insured under this policy or anyone acting on your behalf attempts to deceive us or knowingly makes a fraudulent, false or exaggerated claim:• your policy may be cancelled• we may reject your claim and any subsequent
claims• we may keep any premium you have paid.
What happens if we discover fraudWe have the right to cancel any other products you hold with us and share information about your behaviour with other organisations to prevent further fraud.We may also involve the relevant authorities who are empowered to bring criminal proceedings.If a fraudulent, false or exaggerated claim has been made under any other policy you hold with us, we may cancel this policy.
General conditions
These apply to all sections
Other policy conditions continued
Page 36
Changes that may affect your coverYou must tell us as soon as possible about any changes that could affect the level and/or cover of your insurance, eg:• you change the address where you normally live• any work is being done to your home other than
routine maintenance or decoration• you are prosecuted for or convicted of any offence
(excluding motoring offences)• you let your home out to tenants or a lodger
moves in• your home is used for business purposes or as a
holiday home.The list above does not set out all the changes you must tell us about. If you are not sure whether a change may affect your cover, please contact us.
What will we do when you tell us about a changeWe may reassess your cover and/or premium.
What happens if you don’t tell us about a changeIf you don’t tell us about any changes:• your policy may be invalidated• we may reject your claim• we may not pay your claim in full.
Paying the premiumYou will only be covered if you pay your premiums. If we can’t collect your premium on the date it is due, we will assume that you do not want to continue with your policy unless you tell us otherwise. We may cancel your policy on that date. Before we do, we will write to you to give you another opportunity to make the payment. If you do not pay the premium by the date stated in our letter, we will write to you to confirm that your policy was cancelled on the date the missed payment was due. If you have made a claim, or one has been made against you, before that date you will need to pay the balance of the year’s premium.
People involved in this contractUnless we have stated otherwise, nothing in the policy is intended to confer a directly enforceable benefit on any other party under the Contracts (Rights of Third Parties) Act 1999.
Automatic renewal When your policy is due for renewal, we may offer to renew it for you automatically using the payment details you have already given, unless we or you have advised otherwise. We will write to you at least 21 days before your policy ends to confirm your renewal premium and policy terms, and before taking any payment. If you do not want to renew your policy, you must call us before your renewal date to let us know. It is not possible to offer automatic renewal with all payment methods, so please check your renewal invite for further details. If we are unable to offer renewal terms, we will write to you at your last known address to let you know.
General conditions continued
Page 37
Other policy conditions
Cancellation by usWe have the right to cancel your policy at any time if there is a valid reason. We will give you 14 days’ notice in writing. We will send our cancellation letter to the latest address we have for you. Valid reasons may include but are not limited to:• you failing to co-operate with us or send us
information or documentation as required by the terms of your policy where this significantly affects our ability to process your claim or deal with your policy
• changes to your circumstances that mean you no longer meet our criteria for providing home insurance
• you using threatening or abusive behaviour or language with our staff or suppliers.
If we cancel your policy, we will return the premium paid less the amount for the period the policy has been in force.
Cancellation by youYou may cancel your policy at any time by contacting us on 0345 303 5784 or sending us notice in writing.
If you cancel at renewalIf you cancel before the new period of insurance is due to start, we will return any premium paid in full.If you cancel within 14 days of the start of the new period of insurance or within 14 days of receiving your renewal documents (whichever is the later), we will return any premium paid in full.We will not refund any premium if:• you have made a claim during the period
of insurance• a claim has been made against you during the
period of insurance.
If you cancel at any other timeIf you cancel your policy before it is due to start, we will return any premium paid in full.If you cancel within 14 days of your policy starting or within 14 days of receiving your documents (whichever is the later) we will return any premium paid in full.If you cancel after 14 days have passed, we will return any premium paid, less the administration fee shown in your schedule and an amount for the period the policy has been in force.We will not refund any premium if:• you have made a claim during the period
of insurance• a claim has been made against you during the
period of insurance.
Other policy conditions continued
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✘✘ We don’t cover any pre-existing loss or damage that happened before your cover started.✘✘ We don’t cover any loss, damage or legal liability caused by:• Radioactive contamination. This is:
− ionising radiation or radioactive contamination from any nuclear fuel or from any nuclear waste from burning nuclear fuel
− the radioactive, toxic, explosive or other dangerous properties of any explosive nuclear equipment or nuclear part of that equipment.
• War, invasion, act of foreign enemy, hostilities (whether war is declared or not), civil war, rebellion, revolution or similar event
• Sonic bangs from aircraft or other flying objects travelling at or above the speed of sound
• Pollution or contamination unless it is caused by oil leaking from:
− any fixed heating installation in your home − any domestic appliance in your home.
• Failure of computers and electrical equipment caused by computer viruses
• Terrorism by a person or people acting alone or in connection with any organisation or government, using biological, chemical or nuclear force or contamination.
Losses not covered
These apply to all sections Index linking – buildings coverIf you have set your own building sum insured, we will index link the amount shown on your schedule using the House Rebuilding Cost Index prepared by the Royal Institution of Chartered Surveyors or another appropriate index. Your building sum insured will go up by at least £1,000 each year even if the index linked increase is less than that.We do not apply index linking to our other policy limits.
Index linking – contents coverIf you have set your own contents sum insured, we will index link the amount shown on your schedule using the Retail Price Index or another appropriate index. Your contents sum insured will go up by at least £500 each year even if the index linked increase is less than that amount.We do not apply index linking to our other policy limits.
General conditions continued
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Policy definitions
Policy definitions
Accidental Damage Accidental damage is sudden and unintentional physical damage that happens unexpectedly.
Appointed representative (section 4 only) The preferred law firm, solicitor or other suitably qualified person appointed by us to represent you under this section of the policy.
Authorised repairer (section 5 only) A person, company or organisation appointed by us to carry out a temporary or permanent emergency repair, or prevent further damage.
Beyond economic repair (section 5 only) When the cost of repairing your boiler exceeds 85% of the manufacturer’s current retail price (or if this is not available, the average current retail price available through leading UK suppliers) for a boiler of the same or similar make and model to your boiler.
Bicycle Any bicycle, including electrically powered models, and its accessories.
British Isles England, Scotland, Wales, the Isle of Man, the Channel Islands, Northern Ireland and the Republic of Ireland.
Buildings Your private home, fixtures and fittings, swimming pools, permanently fixed hot tubs, tennis courts, patios, terraces, service tanks, drains, septic tanks, pipes and cables, central heating fuel storage tanks, drives, footpaths, garden walls, hedges, gates and fences.
Certain words in this policy booklet, your schedule and endorsements will have the same meaning wherever they appear. The definitions listed below will apply to the whole policy, unless we say that they have a different meaning when used in particular sections of the policy. We have highlighted these definitions in bold in this policy booklet.
Business Any employment, trade or profession.
Business equipment Any electronic office equipment used for business purposes while it is being kept in your home. (eg computers, printers and photocopiers). ✘✘ But not:• smart phones • mobile phones• tablet computers.
Call out (section 5 only) Our sending an authorised repairer or suitably qualified repairer out after you ask for emergency assistance, even if you then cancel your request.
Contents Household goods, personal possessions, business equipment, camping equipment, money, satellite dishes, aerials and other articles which you are responsible for or that belong to you, domestic staff who live in or guests, except paying guests. ✘✘ But not:• Vehicles• Any living creature• Landlord’s fixtures and fittings• Securities (financial certificates except those
defined as money), certificates and documents, except driving licences and passports.
Costs (section 4 only)• All properly incurred, reasonable and proportionate
fees, expenses and disbursements charged by the appointed representative and agreed by us. Legal fees and disbursements will be assessed on the standard basis or in accordance with any fixed recoverable costs scheme, if applicable.
• The fees incurred by your opponent that you are ordered to pay by a court and any other fees we agree to in writing.
Court (section 4 only) Court, tribunal or other suitable authority.
Policy definitions continued
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Home The main residence occupied by you, at the address shown in your schedule, including its domestic garages and outbuildings.
Home (section 5 only) The private home at the address shown in your schedule, together with any integral or attached garages used for domestic purposes.✘✘ But not:• Detached garages and outbuildings.
Internal plumbing and drainage (section 5 only) The fixed sinks and bathroom fittings, hot or cold water supply, and storage and drainage systems that you are responsible for and that are inside the home.
Legal nuisance (section 4) Any continuous activity by another party causing a substantial and unreasonable interference with your use or enjoyment of your home.
Main source of heating (section 5 only) The main hot water or central heating system in your home including:• one domestic boiler• any controls forming part of the boiler• the programmer, central heating pump, hot water
cylinder, room thermostat and radiators.✘✘ But not:• any form of underfloor heating, solar heating
system or warm-air heating system• any non-domestic boiler and associated system• any boiler with an output of over 70kw• any secondary or other boiler• oil-fired and solid fuel systems• open fires• air-conditioning units.
Money Cash, bank notes, cheques, money orders, postal orders, traveller’s cheques, savings certificates, share certificates, Premium Bonds, travel tickets, postage stamps (that are not part of a collection), phone cards, luncheon vouchers, and vouchers and cards with a cash value that belong to you and are not used for business purposes.
Date of incident (section 4 only) • For civil cases, the date of the incident that leads to
a claim. If more than one incident arises at different times from the same cause, the date of incident is the date of the first of these incidents
• For criminal cases, the first date of any alleged offence.
Electrical supply (section 5 only) The permanent electrical wiring system supplying power to your home from the mains service through your electricity supply meter.
Emergency (section 5 only) An incident in the home that happens during the period of insurance and which needs to be dealt with quickly to avoid: • making the home unsafe or insecure for you• damaging the home and its contents, or• the home losing its main source of heating,
lighting or water (hot or cold).
Emergency assistance (section 5 only) Work carried out by an authorised repairer or suitably qualified repairer to temporarily or permanently deal with an emergency, carry out emergency repairs or prevent further damage.✘✘ But not:• Repairing paths and driveways that need to be
lifted to deal with the emergency.
Endorsement An agreed change to the terms of the policy shown in your policy schedule.
Excess The amount you must pay towards any claim.
Geographical limits (section 5 only) The United Kingdom including the Isle of Man, the Channel Islands, the Isles of Scilly and the Scottish Islands.
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Policy definitions
Period of insurance The period for which the policy covers you shown in your schedule.
Personal possessions Valuables, sports equipment and bicycles that belong to you and luggage, clothes and any other items you normally wear or carry that belong to you or for which you are legally responsible.
Pests (section 5 only)• Wasps’ nests• Hornets’ nests• Mice.• Rats.• Grey squirrels.
Preferred law firm (section 4 only) The law firm we choose to provide legal services. These legal specialists are chosen as they have the expertise to deal with your claim and must comply with our agreed service standards.
Professional customer representative For these purposes is a claims handler or a company acting in a professional or a business capacity and may include, for example, claims management companies or loss assessors but would not include a person acting in a private capacity, for example a relative.
Reasonable prospects of success (section 4 only) For civil cases, we and the appointed representative agree that there is a better than 50% chance that you will:• obtain a successful judgment, and• recover your losses or damages or obtain any
other legal remedy we agree to, including an enforcement of judgment or making a successful defence, appeal or defence of an appeal.
For criminal cases, we and the appointed representative agree that there is a better than 50% chance of you successfully reducing your sentence or fine or making a successful appeal or defence of an appeal.
Security (section 5 only) The locks to external doors and windows of your home.
Sports equipment Items used for sports activities, including sports clothes designed to be used for any sports activity.✘✘ But not • Bicycles.
Suitably qualified repairer (section 5 only) A bona fide tradesperson, company or organisation appointed by you to temporarily or permanently put right an emergency, carry out emergency repairs or prevent further damage. This applies to properties situated in the Isle of Man or the Channel Islands only.
Terms of appointment (section 4 only) A separate contract which we will require the appointed representative to enter into with us if they aren’t a preferred law firm. It sets out the amounts we will pay them under your policy and their responsibilities to report to us at various stages of the claim.
Territorial limits (section 4 only) The United Kingdom.
Underground external drainage (section 5 only) The underground drainage pipes and sewers serving your home, for which you are legally responsible.✘✘ But not:• cesspits• septic tanks• treatment plants and associated pipe work
and equipment.
United Kingdom (section 4 only) Great Britain, the Isle of Man, the Channel Islands and Northern Ireland.
Policy definitions continued
Page 42
Valuables• Sets of coins, stamps or medals. • Furs.• Items or sets or collections of gold, silver
or other precious metals.• Jewellery.• Watches.• Works of art.
Vehicles Any vehicle or toy propelled by a motor of any kind, caravans, trailers, hovercraft, aircraft, watercraft, land yacht, wind powered or assisted vehicles as well as any of their keys, key-fobs, parts and accessories (except for removable entertainment or navigation equipment while it is removed from the vehicle)✘✘ But not the following while being used for their intended purpose and by a person for whom they were designed:• Ride-on lawnmowers• Electrically powered wheelchairs and mobility
scooters• Electrically powered children’s ride on toys• Electrically assisted bicycles• Pedestrian controlled electrically powered
golf trolleys• Model watercraft• Hand-propelled watercraft (such as a surfboard
or rowing boat).
We, us, our, the company U K Insurance Limited.
You, your The person or persons named in your schedule and any of the following who normally live with them: their husband, wife, partner (a person living with them as though married), civil partner, children, parents and other relatives normally living with them.
You, your (section 5 only) The person named as the policyholder on your schedule or any person authorised by you to be in the home at the time of the emergency.
Page 43
How to make a complaint
Our staff are empowered to support you and will aim to resolve most issues within three working days, following receipt of your complaint.If your complaint can’t be resolved within three working days, we’ll contact you to let you know who will be dealing with it and what the next steps are.We will keep in regular contact with you. You’ll also receive the following written communication from us depending on how long it takes us to resolve your complaint:
We understand that things don’t always go to plan and there may be times when you feel we’ve let you down. If this happens, we want you to tell us. We’ll do our best to put things right as soon as possible or explain something we could have made clearer.We’d like you to speak to us about your problem by calling this number 0345 303 5784. If you’d prefer to write to us you can send the letter to:Customer Relations Manager Churchill Court Westmoreland Road Bromley BR1 1DP
How to make a complaint
Communication Type When will you get this? What will it tell you?
Summary Resolution Communication
If we’ve been able to resolve your complaint to your satisfaction within 3 working days, following receipt of your complaint.
It will let you know your complaint has been resolved and tell you about the Financial Ombudsman Service.
Acknowledgement If we’ve been unable to resolve your complaint to your satisfaction within 3 working days, following receipt of your complaint.
It will let you know our complaint handling process and information about the Financial Ombudsman Service.
Unable to reach resolution within 8 weeks
If we’ve been unable to resolve your complaint within 8 weeks.
It will let you know why we are not in a position to give you our final response and when we expect to be able to provide this. We’ll also let you know about your right to contact the Financial Ombudsman Service.
Final Response If we’ve been unable to resolve your complaint within 3 working days, we’ll send you our Final Response when we’ve completed our investigations. We’ll do our best to send this at the earliest opportunity.
This is a detailed response, which will outline:• Our investigation• The decision• Next steps, if applicableIt will also provide information about the Financial Ombudsman Service.
How to make a complaint continued
Page 44Page 44Page 44
Independent ReviewIf we don’t complete our investigations within 8 weeks of receiving your complaint or you’re unhappy with our response, you may ask the Financial Ombudsman Service to look at your complaint. This is a free and independent service. If you decide to contact them, you should do so within 6 months of our response letter. Referring your case to the Financial Ombudsman Service will not affect your legal rights.You can contact them by:Email: complaint.info@financial-ombudsman.org.ukPhone: UK: 0300 123 9123 or 0800 023 4567 Abroad: +44 20 7964 0500Writing to: Financial Ombudsman Service Exchange Tower London E14 9SRTheir website also has a great deal of useful information: www.financial-ombudsman.org.uk
For complaints about Section 4 – Family Legal ProtectionIf your complaint relates to Section 4 – Family Legal Protection, you can refer your complaint to arbitration instead. This is where an independent person, known as an arbitrator, makes a decision on how to settle the dispute. The arbitrator will be a solicitor or barrister or other suitably qualified person that you and we agree on. If you and we can’t agree, we will ask the Chartered Institute of Arbitrators to decide. The arbitrator’s decision will be final and whoever does not win will have to pay all costs and expenses of the arbitration.
European Online Dispute Resolution PlatformIf you, an individual, purchased your policy online mainly for your own private use there is now an Online Dispute Resolution (ODR) platform created by the EU Commission, which can help with resolving disputes. You can enter any complaint, other than for trade, about your policy onto the ODR. This will forward your complaint to the correct Alternative Dispute Resolution scheme. For insurance complaints in the UK this is the Financial Ombudsman Service. Their contact details are above, if you prefer to contact them directly. For more information about ODR please visit http://ec.europa.eu/odr.
Everything else
Page 45
Everything else
NatWest Elite home insurance policies are underwritten by U K Insurance Limited which is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority, registration number 202810.
Financial Conduct Authority• Go to www.fca.org.uk (the website includes
a register of all regulated firms)• Call 0800 111 6768.
Prudential Regulation Authority• Go to www.bankofengland.co.uk/pra • Call 020 7601 4878.
The Financial Services Compensation SchemeGeneral insurance claims are covered by the Financial Services Compensation Scheme, full details of the cover available can be found at www.fscs.org.uk. U K Insurance Limited is a member of this scheme.
Your Credit AgreementYour right to cancel your credit agreementYou have the right to cancel the credit agreement without giving any reason within 15 days of receiving it. If you would like to do this please call us on 0345 303 5783. You will need to repay the outstanding balance under the agreement within 30 calendar days from the day you give us notice that you wish to cancel the agreement. You can withdraw from this agreement at any time. You will continue to be covered under your policy as long as you pay the full premium, otherwise your insurance policy will also end.
Our regulators
Everything else
If you would like a Braille, large print or audio version of your documents, please let us know.
Can we help?To make a change or to talk to us about your policy 0345 303 5784 Monday to Friday 8am to 8pm, Saturday 9am to 5pm, Sunday 10am to 5pm
Need to claim?Buildings, contents or personal possessions 0345 303 5784Monday to Friday 8am to 9pm, Saturday 9am to 5pm
Family Legal Protection 0345 246 0433 24 hours, 365 days a year
Home Emergencies – Optional with Section 5 0345 301 6242 24 hours, 365 days a year
Helplines for practical advice any time you need it
Legal advice 0345 246 043324 hours, 365 days a year
Home Emergencies 0345 878 506824 hours, 365 days a year
NatWest Elite Home insurance is underwritten by U K Insurance Limited, Registered Office: The Wharf, Neville Street, Leeds LS1 4AZ. Registered in England and Wales No.1179980. U K Insurance Limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Calls may be recorded.
NW 13E H PB 0120
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